原发性十二指肠癌的诊断与治疗

The diagnosis and treatment of primary carcinoma of the duodenum

目的提高原发性十二指肠癌的诊断及治疗水平。方法回顾性地总结分析了１８例原发性十二指肠癌的临床资料。结果７例行胰十二指肠切除，１例行节段性肠切除，手术死亡１例，术后１５个月死亡１例、１９个月死亡１例，生存３年者２例，５年者３例；７例行胃肠或胆肠吻合术，分别于术后３～１１个月死亡；３例仅行探查活检，均于术后６个月内死亡。结论早期诊断的关键是提高对本病的认识，对可疑患者，应作相应特殊检查，确诊后及时手术。

Objective To improve the diagnosis and treatment of primary duodenal carcinoma. Method The records of 18 patients with primary carcinoma of the duodenum were reviewed. Result 7 cases underwent pancreatoduodenectomy: segmental duodenectomy (1),intraoperative death (1), survived 3 years (2), and survived 5 years after operation (3). 7 cases underwent gastroenterostomy or cholangioenterostomy; they died in 11 months after operation. Three cases who recieved biopsyonly died in six morths after operation. Conclusion The understanding of deuodenal carcinoma is the key factor for early diagnosis. The appropriate examinations are necessary for suspected patients. Once the diagnosis is confirmed,the result of surgical fretment is improved.